Arthroscopy and synovial hemangioma or giant cell tumour of the knee

Juhl, M; Krebs, B.

doi:10.1007/bf00936211

Cited by 12 publications

(5 citation statements)

References 4 publications

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“…In our case it had an ill-defined outline like inflamed synovium and it may appear similar to pigmented villonodular synovitis [6,7]. In our case it had an ill-defined outline like inflamed synovium and it may appear similar to pigmented villonodular synovitis [6,7].…”

Section: Discussionsupporting

confidence: 45%

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Synovial haemangioma of the knee joint

Wirth

Rauch

Rüschoff

et al. 1992

International Orthopaedics

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Synovial haemangioma of joints are rare, but usually affect the knee joints of children and adolescents. Recurrent swelling, usually due to haemarthrosis, and intermittent pain may be present for a long time before the diagnosis is made. In this case report the common features of the condition are described, with emphasis on the occurrence of atraumatic haemarthrosis in children. The value of arthroscopy in diagnosis is discussed.

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Section: Discussionsupporting

confidence: 45%

“…A rare cause is a synovial haemangioma. The site of the lesion may be juxta-articular, intraarticular or intermediate (both intra-and extra-articular) [6]. The young age of most patients with synovial haemangioma raises the question of whether the lesion is a congenital malformation or a true neoplasm.…”

Section: Discussionmentioning

confidence: 99%

Synovial haemangioma of the knee joint

Wirth

Rauch

Rüschoff

et al. 1992

International Orthopaedics

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“…However, arthroscopy may also fail to reveal the tumor (as in two of our cases), only demonstrating non-specific synovitis, synovitis simulating pigmented villonodular synovitis or bleeding into the synovium [8,9], and does not identify any extra-articular component.…”

Section: Pathological Diagnosesmentioning

confidence: 60%

Synovial haemangioma of the knee: a frequently misdiagnosed lesion

Cotten¹,

Flipo²,

Herbaux³

et al. 1995

Skeletal Radiol.

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Abstract.Objective. The objective of this study was to assess the contribution of magnetic resonance (MR) imaging in the diagnosis and surgical planning of five cases of synovial haemangioma of the knee. Patients and methods. The clinical, radiological and arthroscopic features of five pathologically proven synovial haemangiomas of the knee were retrospectively reviewed. Results. A diagnostic delay, on average of 8 years, had occurred in four of the cases. Plain films were unremarkable, except for one case with arthropathy mimicking haemophilia, Arteriography, performed in three patients, was normal in one. CT, performed in three patients, showed the lesion, but the extent of the latter was better demonstrated with MR imaging. Synovial haemangiomas had a high signal intensity on T2-weighted images, without any extensive mass effect. Fibrofatty septa within the lesion were observed in three cases and muscular and/or fatty invasion in two. Arthroscopy allowed diagnosis of the lesion in two cases, but showed only nonspecific synovitis in another two. Conclusion. This study emphasizes the valuable contribution of MR imaging in the diagnosis and surgical planning of synovial haemangiomas.

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“…In those instances selective embolisation of feeder vessels is an interesting alternative to surgery [12]. Angiography can fail by showing none or only part of the hemangioma in cases where the vascular channels are thrombosed, as in our case [13].…”

Section: Discussionmentioning

confidence: 94%

Synovial hemangioma of the knee joint in a 12-year-old boy: a case report

Vakil-Adli¹,

Zandieh

Hochreiter³

et al. 2010

J Med Case Reports

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IntroductionSynovial hemangioma is a rare condition and is frequently misdiagnosed, leading to a diagnostic delay of many years.Case presentationWe present a case of an atypical synovial hemangioma in a 12-year-old Caucasian boy with a diagnostic delay of 3 years.ConclusionIt is important to know that synovial hemangioma mostly affects the knee joint, showing recurrent bloody effusions without a history of trauma. If there are no intermittent effusions, the diagnosis will be even more difficult. In cases of nonspecific symptoms and longstanding knee pain the diagnosis of a synovial hemangioma should also be considered in order to avoid diagnostic delay. Magnetic resonance imaging is the main diagnostic tool to evaluate patients with synovial hemangioma, showing characteristic lace-like or linear patterns.Angiography can identify feeder vessels and offers the possibility of embolisation in the same setting. Surgical excision, either done per arthroscopy or per arthrotomy, is recommended as soon as possible to avoid the risk of damage to the cartilage.

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Arthroscopy and synovial hemangioma or giant cell tumour of the knee

Cited by 12 publications

References 4 publications

Synovial haemangioma of the knee joint

Synovial haemangioma of the knee joint

Synovial haemangioma of the knee: a frequently misdiagnosed lesion

Synovial hemangioma of the knee joint in a 12-year-old boy: a case report

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